Organization
HEALTHY SMILES FOR EVERYONE DENTAL HYGIENE PRACTICE OF MARCIA ESPINOZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA ESPINOZA RDHAP (DENTAL HYGIENIST)
(951) 638-3896
Entity
Organization
Contact information
Practice address
375 CENTRAL AVE, 58, RIVERSIDE, CA 92507-6540
(951) 638-3896
Mailing address
375 CENTRAL AVE, 58, RIVERSIDE, CA 92507-6540
(951) 638-3896
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
HAP 428
CA
302R00000X
Health Maintenance Organization
HAP 428
CA
305R00000X
Preferred Provider Organization
HAP 428
CA
305S00000X
Point of Service
HAP 428
CA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
HAP 428
CA
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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